JARRED FISHER (NPI# 1467949438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467949438 |
| Entity Type | Individual |
| Full Name | JARRED FISHER |
| Credential | PA-C |
| Practice Address |
908 S Williamson Ave Elon NC 27244-9280 |
| Mailing Address |
1949 Barbee St Burlington NC 27217-1004 |
| Practice Telephone | 3365382416 |
| Mailing Telephone | 3314425062 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0010-08030 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | PA LICENSE NUMBER | 0010-08030 | 01 |
| Street Address |
908 S WILLIAMSON AVE |
| City | ELON |
| State | NC |
| Zip Code | 27244-9280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255336632 | Shannon D Mcqueen | Pediatrics | 908 S Williamson Ave, Elon, NC 27244-9280 | 2005-06-14 |
| 1003426107 | Celena Bounvilay | Physician Assistant | 908 S Williamson Ave, Elon, NC 27244-9280 | 2020-08-04 |
| 1811428261 | Danielle Carter | Physician Assistant | 908 S Williamson Ave, Elon, NC 27244-9280 | 2017-03-27 |
| 1780072777 | Ashley Bennett Motley | Lactation Consultant, Non-RN | 908 S Williamson Ave, Elon, NC 27244-9280 | 2014-12-30 |
| 1902147440 | Private Diagnostic Clinic, Pllc | Family Medicine | 908 S Williamson Ave, Elon, NC 27244-9280 | 2013-03-08 |
| 1821385808 | Kernodle Clinic, Inc-elon | General Practice | 908 S Williamson Ave, Elon, NC 27244-9280 | 2011-06-29 |
| 1861706517 | Claudine Gerber | Social Worker | 908 S Williamson Ave, Elon, NC 27244-9280 | 2010-08-04 |
| 1023260064 | Susan D. Sander | Nurse Practitioner | 908 S Williamson Ave, Elon, NC 27244-9280 | 2008-10-22 |
| 1073633806 | Rowena S Crist | Physician Assistant | 908 S Williamson Ave, Elon, NC 27244-9280 | 2007-03-29 |
| 1720127566 | Marisa C Flores | Pediatrics | 908 S Williamson Ave, Elon, NC 27244-9280 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144702846 | Eric Roman | Specialist/Technologist | Koury Field House 2500 Campus Box, Elon, NC 27244 | 2018-08-30 |
| 1457845489 | Hannah Daly | Specialist/Technologist | 104 E. Haggard Avenue, Elon, NC 27244 | 2018-06-22 |
| 1780113068 | Ewa W Czajkowska-jenkins | Physical Therapist | 106 Palladium Ct, Elon, NC 27244 | 2017-06-08 |
| 1003294059 | Adriana Cline | Pediatrics | 908 South Williamson Avenue, Elon, NC 27244 | 2015-05-11 |
| 1568859288 | Michelle Smith Flinchum | Nurse Practitioner | 301 O' Kelly Avenue, Elon, NC 27244 | 2015-04-21 |
| 1861890139 | Emily Williams | Specialist/Technologist | 301 S. O'kelly Ave, Elon, NC 27244 | 2014-12-18 |
| 1891100988 | Sarah Parker | Nurse Practitioner | 301 South O'kelly Avenue, Rn Ellington Center for Health and Wellness, Elon, NC 27244 | 2014-06-26 |
| 1194937698 | Robert Andrew Watson | General Practice | 311 Truitt Drive, Elon, NC 27244 | 2007-05-04 |
| 1487773909 | Robert Norwood Ellington | Obstetrics & Gynecology | 100 Campus Dr, 2040 Campus Box, Elon, NC 27244 | 2007-03-28 |
| 1164540225 | Elon Village Homes, Inc. | Assisted Living Facility | 715 E Haggard Ave., Elon, NC 27244 | 2007-03-27 |
| Find all providers in zip 27244 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.